FORTUNATA MANALA LACAP

Business Entity
INACTIVE

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041278765

INACTIVE

N

FORTUNATA MANALA

LACAP

FORTUNATA MANALA LACAP

11/30/1993

11/30/1993

05/31/1994

ST LOUIS

MO

63125

MISSOURI

N

09/27/2006